Intra- and Periarticular Ganglia (Synovial Cysts) of the Hip with Compression of the Obturator Nerve, Concomitant with Lesions of the Ligamentum Teres—A Report of 3 Cases  

作　　者：Florian Haug Richard Herzo Florian Haug;Richard Herzo(Investigation performed at Department of Orthopedics and Trauma Surgery, Lucerne Cantonal Hospital, Wolhusen, Switzerland)

机构地区：[1]Investigation performed at Department of Orthopedics and Trauma Surgery, Lucerne Cantonal Hospital, Wolhusen, Switzerland

出　　处：《Open Journal of Orthopedics》2021年第5期170-182,共13页矫形学期刊（英文）

摘　　要：<i><span style="font-family:Verdana;">Background</span></i><span style="font-family:Verdana;"><span style="font-family:Verdana;"><i><span style="font-family:Verdana;">:</span></i></span></span><span><span><span style="font-family:;" "=""> <span style="font-family:Verdana;">Synovial cysts of the hip are commonly found in patients with intra- or extraarticular pathologies of the joint. Symptoms are mostly unspecific. To date there are no guidelines for a gold standard of treatment. Aim of this article is to show up how lesions of the ligamentum teres (LT) might possibly lead to a specific formation of synovial cysts of the hip joint and how this can be treated arthroscopically. </span><i><span style="font-family:Verdana;">Methods</span></i></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><i><span style="font-family:Verdana;">:</span></i></span></span><span><span><span style="font-family:;" "=""> <span style="font-family:Verdana;">This case series included 3 patients with ganglia of the hip. All patients had impingement symptoms, combined with untypical location of pain. All patients qualified for joint preserving surgery and underwent hip arthroscopy with pre- and postoperative MRI imaging. The mean follow-up time was 22 months. </span><i><span style="font-family:Verdana;">Results</span></i></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><i><span style="font-family:Verdana;">:</span></i></span></span><span><span><span style="font-family:;" "=""> <span style="font-family:Verdana;">MRI imaging showed extensive ganglia, presumably originating from the pelvic root of LT, extending to the obturator lodge. In 2 of 3 cases MRI showed lesions of the LT. Hip arthroscopy revealed damage of the LT in all cases, caused by chronic instability of the joint. The postoperative MRI showed a complete regression of the ganglia in all patients after offset correction. After follow-up, 2 of 3 patients were mostly symptom free. One patient was still suf<i><span style="font-family:Verdana;">Background</span></i><span style="font-family:Verdana;"><span style="font-family:Verdana;"><i><span style="font-family:Verdana;">:</span></i></span></span><span><span><span style="font-family:;" "=""> <span style="font-family:Verdana;">Synovial cysts of the hip are commonly found in patients with intra- or extraarticular pathologies of the joint. Symptoms are mostly unspecific. To date there are no guidelines for a gold standard of treatment. Aim of this article is to show up how lesions of the ligamentum teres (LT) might possibly lead to a specific formation of synovial cysts of the hip joint and how this can be treated arthroscopically. </span><i><span style="font-family:Verdana;">Methods</span></i></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><i><span style="font-family:Verdana;">:</span></i></span></span><span><span><span style="font-family:;" "=""> <span style="font-family:Verdana;">This case series included 3 patients with ganglia of the hip. All patients had impingement symptoms, combined with untypical location of pain. All patients qualified for joint preserving surgery and underwent hip arthroscopy with pre- and postoperative MRI imaging. The mean follow-up time was 22 months. </span><i><span style="font-family:Verdana;">Results</span></i></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><i><span style="font-family:Verdana;">:</span></i></span></span><span><span><span style="font-family:;" "=""> <span style="font-family:Verdana;">MRI imaging showed extensive ganglia, presumably originating from the pelvic root of LT, extending to the obturator lodge. In 2 of 3 cases MRI showed lesions of the LT. Hip arthroscopy revealed damage of the LT in all cases, caused by chronic instability of the joint. The postoperative MRI showed a complete regression of the ganglia in all patients after offset correction. After follow-up, 2 of 3 patients were mostly symptom free. One patient was still suf

关 键 词：Ganglion of the Hip Lesion of Ligamentum teres Hip Arthroscopy 

分 类 号：R68[医药卫生—骨科学]